| NPI | 1194856633 |
|---|---|
| Former Name | BRANDY NICOLE LEA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2018-09-10 |