NPI | 1992230205 |
---|---|
Former Name | BRITTANY WYNN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 7092) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2017-04-24 |
Last Update Date | 2024-04-10 |