NPI | 1053062729 |
---|---|
Former Name | KARLIE DREW BRASWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A17224) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-27757) |
Enumeration Date | 2022-01-14 |
Last Update Date | 2022-06-02 |