NPI | 1972274074 |
---|---|
Other Name | IZZY BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180017154) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2021-09-28 |
Last Update Date | 2025-07-09 |