NPI | 1720864952 |
---|---|
Former Name | BRITTANY AMBER CONLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC61447574) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61402034) |
Enumeration Date | 2023-09-05 |
Last Update Date | 2023-09-05 |