| NPI | 1184975013 |
|---|---|
| Former Name | BRIANNE AGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801097093) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2016-09-26 |