| NPI | 1205178159 |
|---|---|
| Former Name | STEPHANIE BARNES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: OH 35.136698) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 19293) |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2021-01-06 |