NPI | 1629633342 |
---|---|
Other Name | BREONNA NICOLE SANDERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH LCMHC2740) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA LPCC13776) |
106H00000X Marriage & Family Therapist (Licence: NH LMFT322) | |
106H00000X Marriage & Family Therapist (Licence: CA 133102) | |
Enumeration Date | 2019-05-08 |
Last Update Date | 2024-06-27 |