| NPI | 1154959294 |
|---|---|
| Former Name | JORDAN LEIGH BRYANT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2411350) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCII.161763) |
| 405300000X Prevention Professional (Licence: OH OCPSA.162074) | |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2024-08-20 |