| NPI | 1710154018 |
|---|---|
| Former Name | AMY LEE BRANSCUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0012016) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2014-12-09 |