NPI | 1093933863 |
---|---|
Former Name | QIONNA MARIEL TINNEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2007-01400) |
Enumeration Date | 2007-04-24 |
Last Update Date | 2020-03-31 |