| NPI | 1730650938 |
|---|---|
| Former Name | BRIANNA STANGL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SD 6056) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 30454) |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2024-07-18 |