NPI | 1497223374 |
---|---|
Former Name | BRANDI KONEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 172V00000X Community Health Worker |
Enumeration Date | 2018-11-08 |
Last Update Date | 2020-07-08 |