| NPI | 1184128126 |
|---|---|
| Former Name | SADE DIAHANN RANDALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NJ 25MB11270900) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NY 309576) |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2023-06-23 |