| NPI | 1295498590 |
|---|---|
| Former Name | ELLEN BRINKMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0001656) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO LSW.0009923674) |
| Enumeration Date | 2021-10-14 |
| Last Update Date | 2021-10-14 |