| NPI | 1083099584 |
|---|---|
| Former Name | BRENNA MICHELLE ROSENBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD61332255) |
| Enumeration Date | 2015-07-25 |
| Last Update Date | 2025-03-14 |