| NPI | 1780048132 |
|---|---|
| Former Name | REBECCA K DAGO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: IL 036157743) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036157743) |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2021-12-27 |