NPI | 1578928016 |
---|---|
Former Name | BRIANNA BRZINSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: HI PSY-1579) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VI 16-38-PSY) |
103TC0700X Psychologist, Clinical (Licence: MN LP6232) | |
103TH0100X Psychologist, Health Service | |
Enumeration Date | 2015-12-29 |
Last Update Date | 2023-12-01 |