NPI | 1548974595 |
---|---|
Former Name | BRIANNA RENEE SCANLON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0704014789) |
Additional Taxonomies | 101Y00000X Counselor (Licence: VA 0704014789) |
Enumeration Date | 2023-01-12 |
Last Update Date | 2025-03-18 |