NPI | 1831418664 |
---|---|
Other Name | CZLAIRE ANDERSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A125942) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: UT 9610282-1205) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA ML 60165499) | |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: UT 9610282-1205) | |
Enumeration Date | 2010-05-18 |
Last Update Date | 2019-05-14 |