NPI | 1861929184 |
---|---|
Former Name | HALEY RACHEL VOLK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 20A18654) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 272065) |
2084P0805X (Licence: CA 20A18654) | |
Enumeration Date | 2017-05-17 |
Last Update Date | 2025-03-10 |