| NPI | 1104121003 |
|---|---|
| Former Name | BROOKE UTLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701006033) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2024-10-18 |