| NPI | 1326302555 |
|---|---|
| Former Name | BROOKE NICOLE ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: MA 507087) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2020-12-22 |