NPI | 1952607806 |
---|---|
Former Name | CHRISTINE BRENAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: OH 6877) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.0006785) |
Enumeration Date | 2011-02-09 |
Last Update Date | 2022-07-21 |