NPI | 1295059145 |
---|---|
Former Name | LAUREN DUNLEAVY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MD D75632) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D75632) |
Enumeration Date | 2010-03-22 |
Last Update Date | 2021-04-06 |