NPI | 1821120080 |
---|---|
Former Name | JENNIFER BRINKLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: NV 192987-03) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NV 388L) |
Enumeration Date | 2007-03-12 |
Last Update Date | 2013-03-07 |