NPI | 1114088838 |
---|---|
Former Name | AMBER BRAUCKMULLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 5736) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2006-12-13 |
Last Update Date | 2024-03-07 |