NPI | 1245312941 |
---|---|
Former Name | JOYCE E BRINKMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: IL 180002902) |
Additional Taxonomies | 103T00000X Psychologist (Licence: IL 180002902) |
1041C0700X Social Worker, Clinical (Licence: IL 180002902) | |
Enumeration Date | 2006-10-20 |
Last Update Date | 2007-07-08 |