| NPI | 1558689323 |
|---|---|
| Professional Name | DARRYL EDWARD BRAXTON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC7034) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LCA1542) |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2023-05-11 |