| NPI | 1316108863 |
|---|---|
| Former Name | DEBRA BRAUN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 8649) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA 11340) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NH LADC: 649) | |
| 101YM0800X Counselor, Mental Health (Licence: NH LCMHC: 729) | |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2019-03-27 |