| NPI | 1225156003 |
|---|---|
| Former Name | BRANDY MICHELLE LAHLEH MANSOURI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 47648) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 49234) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-03-22 |