NPI | 1568200111 |
---|---|
Former Name | BRANDI MICHELLE ASTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 75174) |
Additional Taxonomies | 101YS0200X Counselor, School (Licence: TX 75174) |
Enumeration Date | 2024-07-17 |
Last Update Date | 2024-07-17 |