NPI | 1639344161 |
---|---|
Former Name | CAROL A. PEARSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35.092291) |
Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: OH 35.092291) |
Enumeration Date | 2008-04-25 |
Last Update Date | 2008-08-25 |