NPI | 1790923738 |
---|---|
Former Name | KARA BRAWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 60366) |
Additional Taxonomies | 104100000X Social Worker (Licence: TX 60366) |
1041C0700X Social Worker, Clinical (Licence: AZ LMSW-12541) | |
Enumeration Date | 2009-01-29 |
Last Update Date | 2021-04-01 |