| NPI | 1639245673 |
|---|---|
| Former Name | RYAN E MCDANIEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 4701) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 4701) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2025-05-05 |