Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | MFT13146 | CA |
N | 101YS0200X | School Counselor | MFT13146 | CA |
NPI | 1124269972 |
---|---|
Provider Name | Patricia Holden |
First Address | Tiburon, CA 94920-0204 |
Second Address | Mill Valley, CA 94941-2845 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/03/2009 |
Last Update Date | 10/06/2009 |