| 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 |