| NPI | 1699897728 |
|---|---|
| Former Name | THEADIA CARTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301076021) |
| Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: MI 4301076021) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2024-07-16 |