| NPI | 1982906715 |
|---|---|
| Former Name | BRENNA MARIE DOBOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 001919) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CT 001919) |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2012-04-10 |