| NPI | 1710568183 |
|---|---|
| Former Name | BROOKE HEATHER BROSSARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C9765) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR c9765) |
| Enumeration Date | 2021-04-17 |
| Last Update Date | 2026-03-25 |