| NPI | 1841636362 |
|---|---|
| Former Name | CASEY HOLT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 7060) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2021011487) |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2024-03-05 |