NPI | 1568548691 |
---|---|
Other Name | BRANDIE ELLEN WOODWARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC0033550) |
Additional Taxonomies | 101Y00000X Counselor (Licence: PA 02162) |
101YP2500X Counselor, Professional (Licence: PA PC003350) | |
Enumeration Date | 2006-10-31 |
Last Update Date | 2022-01-27 |