| 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 |