NPI | 1912418542 |
---|---|
Former Name | HOLLY FRANCES RULOFSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: WY LPC1962) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WY ppc-1060) |
Enumeration Date | 2017-10-23 |
Last Update Date | 2021-06-22 |