| NPI | 1245494459 |
|---|---|
| Former Name | EBONY NICOLE BROWN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH9497) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 9497) |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2023-06-30 |