| NPI | 1942507454 |
|---|---|
| Former Name | BRANDY BROCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 3463453503) |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2025-03-21 |