NPI | 1548651292 |
---|---|
Former Name | ASHLEY LYNN BRAUER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1625) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 10287) |
Enumeration Date | 2015-02-16 |
Last Update Date | 2016-11-30 |