| NPI | 1750700845 |
|---|---|
| Former Name | BRITTANI A KINNEBREW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 62589) |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2024-02-08 |