NPI | 1700364080 |
---|---|
Former Name | BRIANNE PETERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
Enumeration Date | 2018-07-30 |
Last Update Date | 2021-03-02 |