| NPI | 1194856633 |
|---|---|
| Former Name | BRANDY NICOLE LEA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2025-05-30 |