| NPI | 1942951207 |
|---|---|
| Other Name | HOLLY PANTUSO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 0006282) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 39077) |
| Enumeration Date | 2022-01-18 |
| Last Update Date | 2023-11-03 |