NPI | 1083247399 |
---|---|
Former Name | BRITTANY ROCHELLE LETOILE-LOPES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH18949) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH20006) |
Enumeration Date | 2020-02-14 |
Last Update Date | 2023-05-28 |