| NPI | 1568995876 |
|---|---|
| Former Name | STEFANIE LYNN HANDRICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: AZ 61755) |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2023-09-07 |