| 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 |