NPI | 1619159555 |
---|---|
Former Name | HOLLY ELIZABETH BOYNE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801116451) |
Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802085998) |
Enumeration Date | 2007-12-03 |
Last Update Date | 2024-06-24 |