| NPI | 1083060040 |
|---|---|
| Former Name | BRITTANY RENEE KOMOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC 14658) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: SC 1087) |
| 101YM0800X Counselor Mental Health (Licence: OH E.1800779) | |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2024-03-26 |