| NPI | 1346213352 |
|---|---|
| Former Name | DEJUAN THERESA THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: OR MD26253) |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2018-08-29 |