| NPI | 1053536987 |
|---|---|
| Former Name | DEBORAH LOLLY ELKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX k7611) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TX k7611) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2019-10-14 |