| NPI | 1629616040 |
|---|---|
| Former Name | EMILY LOUISE BRINK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LGP9747) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD LGP9747) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD LGP9747) | |
| 101YP1600X Counselor, Pastoral (Licence: MD LGP9747) | |
| 101YP2500X Counselor, Professional (Licence: MD LGP9747) | |
| Enumeration Date | 2019-12-16 |
| Last Update Date | 2019-12-16 |