| 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 |