| NPI | 1194186239 |
|---|---|
| Former Name | BRITTINY WIDEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2025-05-20 |