NPI | 1326185398 |
---|---|
Former Name | KENDALL L BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.0003006-SUPV) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 981093) |
Enumeration Date | 2007-01-31 |
Last Update Date | 2008-07-24 |