| NPI | 1558635706 |
|---|---|
| Former Name | LAVONNE LEE HOLMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 364) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OK 639) |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2012-03-06 |