NPI | 1538601463 |
---|---|
Former Name | BIONCA R BRADFORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 78024) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2016-11-09 |
Last Update Date | 2019-10-30 |