NPI | 1376324616 |
---|---|
Former Name | BRENNA YARIAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61585785) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 09930342) |
1041C0700X Social Worker, Clinical (Licence: OH I.2405901) | |
Enumeration Date | 2023-10-12 |
Last Update Date | 2024-10-04 |