NPI | 1992948491 |
---|---|
Other Name | BRANDON BRAWNER |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY28143) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA PSY28143) |
Enumeration Date | 2009-04-13 |
Last Update Date | 2018-07-03 |