| NPI | 1871872606 |
|---|---|
| Former Name | BRIANNE BALLARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 114778) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 91898) |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2022-08-08 |