| NPI | 1184158966 |
|---|---|
| Former Name | BRIANNA KATELYN BEDARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC008371) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM CTB-2022-0355) |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2023-03-22 |