NPI | 1922454156 |
---|---|
Former Name | BROOKE EATON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW020301) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2016-05-06 |
Last Update Date | 2023-10-17 |