NPI | 1184921678 |
---|---|
Former Name | BREANNE LYN UNRUH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT91318) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2011-02-17 |
Last Update Date | 2016-01-14 |