NPI | 1619256914 |
---|---|
Other Name | RYAN MICHAEL SCHUSTER |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: WA 61117866) |
Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA 29137) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2011-08-04 |
Last Update Date | 2022-10-14 |