| NPI | 1528106614 |
|---|---|
| Former Name | TESSA LYNN SALAZAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: OK 4392) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OK 4392) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2021-05-12 |