NPI | 1629738935 |
---|---|
Former Name | BRENNA CHRISTINE MATUSZEK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG61253806) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2021-12-28 |
Last Update Date | 2022-05-02 |