NPI | 1518029768 |
---|---|
Former Name | BARBARA JEAN ROSE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: OR 18274) |
Enumeration Date | 2006-12-14 |
Last Update Date | 2009-07-29 |