| NPI | 1518074749 |
|---|---|
| Former Name | BRENDA RAE ATWOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NM 1271 (LPCC)) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NM 006083 (LADAC)) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2020-10-01 |