NPI | 1407234016 |
---|---|
Other Name | ANDREA YOUNG RYAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 05659) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OH 7220) |
Enumeration Date | 2015-05-14 |
Last Update Date | 2015-12-17 |