| NPI | 1043911720 |
|---|---|
| Former Name | BRANDI POWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701012275) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701012275) |
| 101Y00000X Counselor (Licence: VA 0701012275) | |
| Enumeration Date | 2023-03-10 |
| Last Update Date | 2023-03-10 |