| NPI | 1346484227 |
|---|---|
| Former Name | DIANA MARIE FREY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: OH 35.096667) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MN 57862) |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2022-07-12 |