NPI | 1972855419 |
---|---|
Other Name | J BROOKE WRIGHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 208.000120) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.005057) |
Enumeration Date | 2012-10-08 |
Last Update Date | 2012-10-08 |