| NPI | 1861470197 |
|---|---|
| Former Name | BONNIE JEAN BILLONE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C175390) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA C175390) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD00034707) | |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2023-06-22 |