| NPI | 1275199465 |
|---|---|
| Other Name | KIMBERLY KAYANA BRYAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC13132) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2025-11-10 |