NPI | 1619300134 |
---|---|
Former Name | ASHLEE HOLLIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2013-08-20 |
Last Update Date | 2021-01-06 |