| NPI | 1093371171 |
|---|---|
| Former Name | BRITTANY KORTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 7347) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 11772) |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2019-05-14 |