| NPI | 1952490799 |
|---|---|
| Former Name | MARY JANE BROWN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0005087) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0000254) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2019-05-31 |