| NPI | 1952910671 |
|---|---|
| Former Name | MARLENA HOLMES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MO 2018011004) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2018011004) |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2022-12-19 |