| NPI | 1366710543 |
|---|---|
| Former Name | CAMILLA ADELE VAN VOORHEES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA G79371) |
| Enumeration Date | 2011-12-02 |
| Last Update Date | 2011-12-02 |