NPI | 1801304258 |
---|---|
Former Name | BRITTANY IRENE KENNARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: OH 423919) |
Enumeration Date | 2018-01-19 |
Last Update Date | 2018-08-28 |