NPI | 1861040453 |
---|---|
Former Name | HALEY BRAMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6361007571) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301018055) |
103TC0700X Psychologist, Clinical (Licence: MI 6362002364) | |
103TC0700X Psychologist, Clinical (Licence: MI 6361007571) | |
Enumeration Date | 2019-08-28 |
Last Update Date | 2022-09-19 |