| NPI | 1568890721 |
|---|---|
| Former Name | CHAZ HOLMON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC500080588) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 19256) |
| Enumeration Date | 2013-10-28 |
| Last Update Date | 2022-06-10 |