NPI | 1962014340 |
---|---|
Former Name | BRENNA NICHOLE HOPPES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: KS 12143) |
Additional Taxonomies | 104100000X Social Worker (Licence: KS 11850) |
Enumeration Date | 2020-08-18 |
Last Update Date | 2022-08-24 |