NPI | 1720600547 |
---|---|
Former Name | HOLLY JUSTINE STURGES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR LCSW7975) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR 7975) |
Enumeration Date | 2020-05-14 |
Last Update Date | 2023-06-27 |