| NPI | 1770519308 |
|---|---|
| Former Name | TONILYN BROOKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ LISAC - 11659) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LPC 12831) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2014-12-05 |