NPI | 1801320189 |
---|---|
Former Name | DANICA RENEE KOZEK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: SC 51327) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 51327) |
Enumeration Date | 2017-04-13 |
Last Update Date | 2022-09-07 |