NPI | 1376936708 |
---|---|
Former Name | BRANDI ROSE TENHOOPEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: MI 6851110625) |
Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802088480) |
Enumeration Date | 2015-03-10 |
Last Update Date | 2021-08-03 |