| NPI | 1336758119 |
|---|---|
| Former Name | BROOKE ELISE FLETCHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 11976) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NE 7398) |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2022-07-27 |