| NPI | 1730405416 |
|---|---|
| Former Name | SALLY BROWN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA MH3346-CC) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MA MH3346-CC) |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2010-04-20 |