| NPI | 1346590718 |
|---|---|
| Former Name | LEANNA RUTHERFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ZZ 81390) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: ZZ 81390) |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2012-09-13 |