NPI | 1932719622 |
---|---|
Former Name | AMY LYNN BROWNE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2020-08-06 |
Last Update Date | 2020-08-06 |