NPI | 1366970915 |
---|---|
Former Name | BROOKE NICHOLE WEEDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 1346) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NE P-1496) |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2017-05-26 |
Last Update Date | 2020-03-26 |