NPI | 1205339835 |
---|---|
Former Name | LINDSEY BROADBENT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 6874) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 115957) | |
Enumeration Date | 2018-03-09 |
Last Update Date | 2022-10-19 |