NPI | 1689800690 |
---|---|
Former Name | LORRIANN LE TRAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA A138915) |
Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MD D74048) |
Enumeration Date | 2009-06-04 |
Last Update Date | 2021-12-01 |