| NPI | 1891164018 |
|---|---|
| Former Name | BRANDI E HISSONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-38106) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LMSW 35171) |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2022-11-09 |