| NPI | 1063934529 |
|---|---|
| Former Name | BRITTANY GRANDISON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA 14890) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CA 14890) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| Enumeration Date | 2017-07-16 |
| Last Update Date | 2024-03-13 |