| NPI | 1427452044 |
|---|---|
| Former Name | RYECOBIE BROOKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY32075) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103T00000X Psychologist | |
| 103TC0700X Psychologist, Clinical (Licence: CA PSY32075) | |
| 103TC0700X Psychologist, Clinical (Licence: TX 38863) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2024-05-21 |