NPI | 1558611186 |
---|---|
Former Name | BRITTANI PASCAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-16204) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LAC-13884) |
Enumeration Date | 2012-09-11 |
Last Update Date | 2020-08-02 |