NPI | 1831450642 |
---|---|
Former Name | BRITTANY ALEXIS MARTIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: IL BK07940323P) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2012-06-07 |
Last Update Date | 2023-04-24 |