NPI | 1265149975 |
---|---|
Former Name | BRIANNA RAMSDELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2022-11-02 |
Last Update Date | 2024-05-29 |