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 |