| NPI | 1053777995 |
|---|---|
| Former Name | TANDRA NICOLE BROWN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50081239) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 13915) |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2023-03-31 |