| NPI | 1770631798 |
|---|---|
| Former Name | KENDALL DENAE BRYAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TN 1519) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TN 1519) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2014-05-28 |