NPI | 1750109708 |
---|---|
Former Name | BRITTANY HARRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC017199) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA 16941) |
Enumeration Date | 2024-09-30 |
Last Update Date | 2024-09-30 |