| NPI | 1891274593 |
|---|---|
| Former Name | VANESSA MAE BROWN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2022-03-02 |