NPI | 1285981373 |
---|---|
Former Name | BRIANNA J. BLANCHARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH 60430429) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60239217) |
101YM0800X Counselor, Mental Health (Licence: ME XL3481) | |
Enumeration Date | 2012-08-08 |
Last Update Date | 2014-02-18 |