NPI | 1861825713 |
---|---|
Former Name | BROOKE C HARRISON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY33997) |
Additional Taxonomies | 101Y00000X Counselor |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
103TC0700X Psychologist, Clinical (Licence: NY 023796) | |
Enumeration Date | 2013-08-14 |
Last Update Date | 2023-02-22 |