NPI | 1114108263 |
---|---|
Professional Name | CHRISTINE RYAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MO R0429) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MO R0429) |
103TF0000X Psychologist, Family (Licence: MO R0429) | |
Enumeration Date | 2007-11-16 |
Last Update Date | 2007-11-16 |