| NPI | 1366165680 |
|---|---|
| Former Name | BRIANA M UNDERWOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1476160722) |
| Enumeration Date | 2022-09-21 |
| Last Update Date | 2024-04-16 |