| NPI | 1396579124 | 
|---|---|
| Former Name | LACEY BROWN | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health | 
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program | 
| Enumeration Date | 2024-08-26 | 
| Last Update Date | 2025-08-22 |