| NPI | 1164862744 |
|---|---|
| Former Name | ERIN BRYAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904011016) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50079421) |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2020-02-03 |