NPI | 1427585363 |
---|---|
Former Name | BREANNE HARGRETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 79611) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CT 003143) |
Enumeration Date | 2017-05-22 |
Last Update Date | 2020-02-29 |