| NPI | 1881348290 |
|---|---|
| Former Name | BRENNA ANNE O'CONNOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC015823) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-02-05 |
| Last Update Date | 2023-07-26 |