| NPI | 1336108471 |
|---|---|
| Former Name | KRISTIN LEIGH RYAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2006-03-18 |
| Last Update Date | 2022-03-22 |