NPI | 1467905802 |
---|---|
Former Name | BRANDI JA'NELLE BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 7914) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A11650) |
Enumeration Date | 2016-08-02 |
Last Update Date | 2019-08-11 |