NPI | 1417482449 |
---|---|
Former Name | ELISE MICHELLE STEPHENSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 62235) |
Enumeration Date | 2017-04-27 |
Last Update Date | 2024-07-09 |