| NPI | 1851436638 |
|---|---|
| Former Name | HEIDI AVENELLE ROSENBAUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA A70866) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A70866) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2026-03-17 |