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 |