NPI | 1831114958 |
---|---|
Former Name | LAINE YOUNG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MO 114238) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 114238) |
Enumeration Date | 2006-07-12 |
Last Update Date | 2020-11-05 |