NPI | 1417359621 |
---|---|
Former Name | BRANDEE HORNE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0016506) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2014-09-18 |
Last Update Date | 2024-05-02 |