| NPI | 1245849421 |
|---|---|
| Former Name | BROOKE FRAZIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH15149) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 7289) |
| 101YM0800X Counselor, Mental Health (Licence: GA LPC011279) | |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2020-07-23 |