NPI | 1023484391 |
---|---|
Former Name | BRITTNEY BACHORZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 8818-123) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 16228-131) |
Enumeration Date | 2015-08-20 |
Last Update Date | 2025-07-23 |