| NPI | 1275853756 |
|---|---|
| Former Name | STEPHENIE ASHLEY BOX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101250422) |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2021-12-20 |