NPI | 1518624626 |
---|---|
Other Name | MARY ELIZABETH BRYANT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 101Y00000X Counselor (Licence: OK LPCCANDIDATE12533) |
Enumeration Date | 2021-11-23 |
Last Update Date | 2025-02-19 |