NPI | 1871051698 |
---|---|
Professional Name | LESA BRENNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801106485) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2019-03-11 |
Last Update Date | 2022-05-19 |