| NPI | 1861834475 |
|---|---|
| Former Name | BRENDA CONWAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD 101ym0800x) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: MD 172v00000x) |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2023-04-10 |