| NPI | 1730564485 |
|---|---|
| Former Name | RAINISHA LA VERNE BRADLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 70918) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 70918) |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2023-01-27 |