| NPI | 1922831577 |
|---|---|
| Former Name | MARCELLA GRACE BRASWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2024-08-20 |
| Last Update Date | 2025-08-15 |