NPI | 1083270300 |
---|---|
Former Name | BRITTANY NICOLE BECKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 007370) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CT 46.007257) |
101YP2500X Counselor, Professional (Licence: NJ 37PC01026800) | |
Enumeration Date | 2019-05-13 |
Last Update Date | 2024-05-08 |