| NPI | 1982078382 |
|---|---|
| Former Name | BRANDY K ODENWELDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA MSW008124) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA C0245) |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2019-05-21 |