NPI | 1275070658 |
---|---|
Former Name | BRITTANY ALEXIS WILLS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: KY 246485) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: KY 246485) |
Enumeration Date | 2017-01-24 |
Last Update Date | 2024-04-08 |