| NPI | 1497012264 |
|---|---|
| Former Name | CHRISTINA RYAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P1411099) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AR M1411010) |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2017-02-20 |