Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor |
NPI | 1003433988 |
---|---|
Provider Name | Brandi Hudson |
First Address | Overland Park, KS 66209-2005 |
Second Address | Overland Park, KS 66209-2005 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2020 |
Last Update Date | 15/04/2021 |