Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | MFTI 41954 | CA |
NPI | 1003016395 |
---|---|
Provider Name | Mrs. Teresa Ann Brawley |
First Address | Salinas, CA 93901-2392 |
Second Address | Salinas, CA 93906-3122 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2007 |
Last Update Date | 24/07/2007 |