NPI | 1184133928 |
---|---|
Former Name | ABBY REBECCA BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP6155) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MN LP6155) |
Enumeration Date | 2017-09-25 |
Last Update Date | 2021-03-11 |