| 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 |