NPI | 1083253322 |
---|---|
Former Name | KRISTIN DESLAURIERS BRAUN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DE PC-0011541) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0701008766) |
101YM0800X Counselor, Mental Health (Licence: VA 0701008766) | |
Enumeration Date | 2020-01-03 |
Last Update Date | 2025-04-30 |