| NPI | 1669595666 |
|---|---|
| Former Name | SHANNA MARIE HAYMAN MOLINA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: AR E-13081) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: OK 25604) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2022-11-03 |