| NPI | 1326088303 |
|---|---|
| Former Name | MELSON JEAN BRAXTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 0751-1334C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 1334C) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2023-05-05 |