NPI | 1548299100 |
---|---|
Former Name | MARLENE MILLER BRYANT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW18517) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 09040444044) |
Enumeration Date | 2006-07-03 |
Last Update Date | 2024-05-29 |