| NPI | 1285085969 |
|---|---|
| Former Name | LACEY JO-MORFORD CROSKEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301502261) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4351043930) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301110007) | |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2025-11-10 |