NPI | 1649514332 |
---|---|
Former Name | BRITTNEY FARLEY GURSKY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 14528) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 011490) |
Enumeration Date | 2012-11-19 |
Last Update Date | 2021-07-12 |