NPI | 1598209421 |
---|---|
Former Name | BRANDI JILL BRADSHAW-HEDGES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 12607) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 12607) |
Enumeration Date | 2016-12-12 |
Last Update Date | 2020-04-06 |