NPI | 1518099704 |
---|---|
Former Name | LEANNE MASON BROOKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 55973) |
Enumeration Date | 2007-03-12 |
Last Update Date | 2022-07-21 |