NPI | 1265848147 |
---|---|
Former Name | BRIANA MARIE MEARS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: TX 332995) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401014597) |
Enumeration Date | 2014-07-11 |
Last Update Date | 2019-01-28 |