| NPI | 1235422429 |
|---|---|
| Former Name | GENALYNNE CARWILE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NC 206-00815) |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2016-05-18 |