NPI | 1205933918 |
---|---|
Former Name | SUSAN LINDLEY WOUTERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: FL ME68821) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME68821) |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: FL ME68821) | |
Enumeration Date | 2006-09-17 |
Last Update Date | 2007-07-08 |