| NPI | 1013452739 |
|---|---|
| Former Name | URSULA BRICKEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH60277400) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA CP60313530) |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2017-01-04 |