| NPI | 1144568551 |
|---|---|
| Former Name | BROOKE ELIZABETH BUCHOLTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC LPC 5457) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC006911) |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2013-02-14 |