NPI | 1528331246 |
---|---|
Former Name | HOLLY SPARKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LMFT.80365) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 80365) |
Enumeration Date | 2012-02-10 |
Last Update Date | 2025-09-30 |