| NPI | 1477883320 |
|---|---|
| Former Name | BRITTANY MANN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810005102) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MO 2017043230) |
| Enumeration Date | 2009-12-28 |
| Last Update Date | 2020-07-07 |