NPI | 1205060134 |
---|---|
Other Name | TARA-WILLOW FERREN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: WA MD60545175) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: WA MD60545175) |
Enumeration Date | 2009-05-06 |
Last Update Date | 2024-08-22 |