| NPI | 1437208436 |
|---|---|
| Former Name | BRENDA LUCILLE PAUL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR C2360) | |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2019-06-19 |