| NPI | 1659759348 |
|---|---|
| Former Name | HOLLY MARIE GIRARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY32899) |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2021-10-06 |