NPI | 1265149975 |
---|---|
Former Name | BRIANNA RAMSDELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 10003720) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA 10003720) |
101YP2500X Counselor, Professional (Licence: MA 10003720) | |
Enumeration Date | 2022-11-02 |
Last Update Date | 2025-07-25 |