| 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 |