| NPI | 1447913538 |
|---|---|
| Former Name | JILLIAN BRAIME |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 20902) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 107558-01) |
| 1041C0700X Social Worker, Clinical (Licence: WA LW61430623) | |
| Enumeration Date | 2021-10-15 |
| Last Update Date | 2023-06-16 |