NPI | 1780937292 |
---|---|
Former Name | BROOKE LYNN ROCKWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401013416) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2012-10-22 |
Last Update Date | 2024-03-20 |