NPI | 1124740253 |
---|---|
Former Name | BRIEANN JOHNSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG61359139) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2022-09-15 |
Last Update Date | 2023-01-31 |