| NPI | 1841627502 |
|---|---|
| Former Name | COLETTE RYAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041S0200X Social Worker, School |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2018-03-17 |