| NPI | 1700989308 |
|---|---|
| Former Name | MINNETTE BLACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA G48910) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2023-03-07 |