NPI | 1700437886 |
---|---|
Former Name | BROOKE L YANCEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AR 202208) |
Additional Taxonomies | 103T00000X Psychologist (Licence: WI 3872) |
Enumeration Date | 2019-09-20 |
Last Update Date | 2022-03-02 |