| NPI | 1548642150 |
|---|---|
| Former Name | BRENDA PRESTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 87441) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 73782) |
| 101YM0800X Counselor, Mental Health (Licence: CA ASW73782) | |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2024-11-08 |