| NPI | 1215289343 |
|---|---|
| Former Name | BRENDEEN ALLRED LONGORIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NV 5486-C) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: UT 6025235-3501) |
| Enumeration Date | 2012-10-13 |
| Last Update Date | 2016-07-17 |