| NPI | 1457083289 |
|---|---|
| Former Name | BRANDI BURKHOLDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA Ci41740224) |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2026-03-26 |