| NPI | 1275199465 |
|---|---|
| Other Name | KIMBERLY KAYANA BRYAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LGP10877) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2021-01-19 |