| NPI | 1346838109 |
|---|---|
| Former Name | BROOKE DOREEN HANSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-40504) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LMSW-37738) |
| 1041C0700X Social Worker, Clinical (Licence: MA LICSW123411) | |
| Enumeration Date | 2021-01-07 |
| Last Update Date | 2024-11-02 |