NPI | 1598095697 |
---|---|
Former Name | HOLLY J DANNEWITZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: ND 433) |
Additional Taxonomies | 103T00000X Psychologist (Licence: ND 433) |
Enumeration Date | 2010-01-12 |
Last Update Date | 2015-04-17 |