NPI | 1083033823 |
---|---|
Former Name | KRISTA BRAWLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I1502351) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OH S1201192) |
Enumeration Date | 2014-04-09 |
Last Update Date | 2016-07-14 |