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 |