| NPI | 1609566553 |
|---|---|
| Former Name | BREANNA MAUREEN MCMILLAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH25818) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH23990) |
| Enumeration Date | 2023-05-12 |
| Last Update Date | 2025-06-03 |