NPI | 1396838611 |
---|---|
Former Name | KATHERINE DELL WELK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301047074) |
Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MI 4301047074) |
Enumeration Date | 2006-09-30 |
Last Update Date | 2020-10-22 |