| NPI | 1770239584 |
|---|---|
| Former Name | MELISSA LYNN BRYANT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2016028922) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 05677) |
| Enumeration Date | 2022-03-02 |
| Last Update Date | 2022-03-02 |