NPI | 1356619118 |
---|---|
Former Name | BRIDGETTE C BRUNNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AR P1409065) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR A1201003) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2011-12-08 |
Last Update Date | 2016-04-01 |