NPI | 1790022580 |
---|---|
Former Name | CHARESE BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 101Y00000X Counselor (Licence: IL 180.012039) |
Enumeration Date | 2013-01-14 |
Last Update Date | 2024-04-12 |