NPI | 1114349321 |
---|---|
Former Name | BROOKE NICOLE FLODIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60574006) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2014-01-08 |
Last Update Date | 2018-02-21 |