NPI | 1730544479 |
---|---|
Former Name | BROOKE E PFEFFERLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1700740) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: 51500646) |
Enumeration Date | 2015-12-23 |
Last Update Date | 2019-09-06 |