NPI | 1760015515 |
---|---|
Former Name | BRIANNA ALLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: UT 10529333-6004) |
Additional Taxonomies | 225A00000X Music Therapist (Licence: 09729) |
Enumeration Date | 2020-02-20 |
Last Update Date | 2024-01-31 |