NPI | 1962716936 |
---|---|
Former Name | EMILY ANNE BRYAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2010-08-02 |
Last Update Date | 2014-02-04 |