NPI | 1558501833 |
---|---|
Other Name | BRANDY LEWIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 420) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2009-02-26 |
Last Update Date | 2017-10-05 |