NPI | 1083914121 |
---|---|
Other Name | JOEY BRUMME |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MN CC01303) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 88187) |
Enumeration Date | 2010-10-22 |
Last Update Date | 2020-07-16 |