NPI | 1508211814 |
---|---|
Former Name | ANNA BRACKNELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: SC 14678) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2016-04-25 |
Last Update Date | 2023-08-21 |