NPI | 1780337428 |
---|---|
Former Name | BRANDIE AVANT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 175T00000X Peer Specialist |
Enumeration Date | 2022-02-02 |
Last Update Date | 2023-09-25 |