NPI | 1346868882 |
---|---|
Former Name | BRIANNA BRUSH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 2528) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM CMH0214401) |
Enumeration Date | 2020-07-10 |
Last Update Date | 2024-07-21 |