| NPI | 1972759991 |
|---|---|
| Former Name | BRANDY KUEREINE O'ROURKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MD LBA001) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 1-07-3491) |
| Enumeration Date | 2008-08-11 |
| Last Update Date | 2024-06-02 |