NPI | 1679794069 |
---|---|
Former Name | TAKESHA JENENE VALENTINE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA A88199) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A88199) |
Enumeration Date | 2007-05-01 |
Last Update Date | 2023-10-02 |