NPI | 1619362407 |
---|---|
Former Name | VALERIE ANN BRYANT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 110295) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
1041C0700X Social Worker, Clinical (Licence: OH I.2304862) | |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
Enumeration Date | 2015-03-30 |
Last Update Date | 2024-08-26 |