NPI | 1023309101 |
---|---|
Other Name | BRANDI NICOLE LEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 114570) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2011-04-25 |
Last Update Date | 2023-09-25 |