| NPI | 1316461478 |
|---|---|
| Former Name | AUBREY ELIZABEHT BREUCKMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2017-07-31 |