NPI | 1689120701 |
---|---|
Former Name | AMANDA ELIZABETH BROWNING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0016383) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0016383) |
Enumeration Date | 2016-08-29 |
Last Update Date | 2024-11-15 |