NPI | 1346819505 |
---|---|
Former Name | HALLIE BAUGHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: VA 0024181627) |
Enumeration Date | 2021-06-22 |
Last Update Date | 2024-01-09 |