| NPI | 1609308758 |
|---|---|
| Other Name | NICOLE CHRISTINA ROUSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: CA 20A16793) |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2022-07-14 |