NPI | 1407286701 |
---|---|
Former Name | REBEKAH ANNE BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401013671) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401013671) |
Enumeration Date | 2013-11-22 |
Last Update Date | 2022-02-01 |