NPI | 1710254719 |
---|---|
Former Name | ANN HOLT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NM 346902) |
Enumeration Date | 2011-11-19 |
Last Update Date | 2019-04-12 |