NPI | 1417254590 |
---|---|
Former Name | BRITTANY N BYNUM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1450872) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.1002069) |
Enumeration Date | 2011-02-25 |
Last Update Date | 2016-09-19 |