| NPI | 1487128617 |
|---|---|
| Former Name | KATHLEEN H RYDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 121686) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 121686) |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2019-04-29 |