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 |