| NPI | 1427606458 |
|---|---|
| Former Name | TYBYTHA D. RYAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IN 20043519B) |
| Enumeration Date | 2019-09-03 |
| Last Update Date | 2023-04-03 |