NPI | 1831549237 |
---|---|
Former Name | BRIANA LYNN TIMRECK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 8592-123) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 16120-131) |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2016-06-16 |
Last Update Date | 2022-07-21 |