| NPI | 1932339751 |
|---|---|
| Former Name | BRENNA CLINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CO LPC.0006223) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CO ACB.0007504) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2018-03-17 |