NPI | 1033620471 |
---|---|
Former Name | BRIANA MCKENZIE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2102385-SUPV) |
Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1700700) |
Enumeration Date | 2017-10-12 |
Last Update Date | 2024-05-16 |