NPI | 1881145399 |
---|---|
Former Name | KELSEY ROSE HOLLENBECK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 127862) |
Enumeration Date | 2016-10-19 |
Last Update Date | 2023-04-13 |