| 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 |