NPI | 1427220144 |
---|---|
Professional Name | RENE BROUSSARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AZ LPC-12927) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: AZ LPC-12927) |
Enumeration Date | 2008-04-02 |
Last Update Date | 2008-04-02 |