NPI | 1861045957 |
---|---|
Former Name | BRIANNA OBRIGHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: WI 3711-57) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 2400-226) |
Enumeration Date | 2019-07-18 |
Last Update Date | 2022-12-06 |