| NPI | 1548815905 |
|---|---|
| Former Name | KATHARYN MICHAEL BRYANT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IL RBT-19-91484) |
| Enumeration Date | 2019-08-02 |
| Last Update Date | 2022-10-18 |