NPI | 1962633958 |
---|---|
Former Name | BRANDY WHYTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC2450) |
Enumeration Date | 2009-08-07 |
Last Update Date | 2024-06-11 |