Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | 9622 | TX |
N | 101YM0800X | Mental Health Counselor | 9622 | TX |
Y | 101YP2500X | Professional Counselor | 9622 | TX |
N | 101YS0200X | School Counselor |
NPI | 1033365200 |
---|---|
Provider Name | Martha Ann Brandt |
First Address | Austin, TX 78737-3036 |
Second Address | Austin, TX 78752-3735 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/08/2008 |
Last Update Date | 07/08/2008 |