| NPI | 1508364456 |
|---|---|
| Former Name | LINDSEY NICOLE BRYANT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 259639) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 104100000X Social Worker (Licence: OH S.1802408) | |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2024-11-22 |