| NPI | 1568200350 |
|---|---|
| Former Name | FELECIA DEWAYNE HOLLIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| Enumeration Date | 2024-07-17 |
| Last Update Date | 2024-07-17 |