| NPI | 1689088858 |
|---|---|
| Former Name | RACHEL JEAN KENNEDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MD D0091676) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC LL37178) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: SC 37178) | |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2021-07-29 |