NPI | 1982245056 |
---|---|
Former Name | BRITTANY MICHELLE AUGUST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT BBH-LCSW-LIC-5719) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MT BBH-SWLC-LIC-38850) |
Enumeration Date | 2019-09-30 |
Last Update Date | 2022-08-10 |