NPI | 1699145037 |
---|---|
Former Name | LAURA BREHM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS018812) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2015-09-28 |
Last Update Date | 2023-03-06 |