| NPI | 1720511959 |
|---|---|
| Former Name | BREANN BEARDSLEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC013758P) |
| 101YP2500X Counselor, Professional (Licence: CT 4701) | |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2022-01-21 |