| NPI | 1356463012 |
|---|---|
| Former Name | CYNTHIA MARIE BRUNNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC 3759) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA LH 60522568) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2015-06-03 |