NPI | 1487892428 |
---|---|
Other Name | BRADFIELD ELLIS CONN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2009-01-29 |
Last Update Date | 2013-09-12 |