NPI | 1255077905 |
---|---|
Former Name | BRITTANY LEE COGGIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A17532) |
Additional Taxonomies | 101YS0200X Counselor, School (Licence: NC 1172560) |
Enumeration Date | 2022-05-06 |
Last Update Date | 2024-09-16 |