NPI | 1164781787 |
---|---|
Former Name | BRIANNA ANDERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA ASW72644) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2012-05-16 |
Last Update Date | 2019-04-18 |