| NPI | 1063720332 |
|---|---|
| Former Name | SHELLEY J BROOKENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 4841-125) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15991-130) |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2022-12-14 |