| NPI | 1972897643 |
|---|---|
| Other Name | GRACE M BROOKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ 12652) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ 1582) |
| Enumeration Date | 2011-05-30 |
| Last Update Date | 2011-05-30 |