NPI | 1174969091 |
---|---|
Other Name | FERN M BRYAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 34294) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149006358) |
Enumeration Date | 2013-05-19 |
Last Update Date | 2013-05-20 |