NPI | 1255926697 |
---|---|
Former Name | AUDREY ALINE BRANDON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 172V00000X Community Health Worker |
Additional Taxonomies | 101Y00000X Counselor |
225400000X Rehabilitation Practitioner | |
Enumeration Date | 2021-03-08 |
Last Update Date | 2024-02-26 |