| NPI | 1982960282 |
|---|---|
| Former Name | ELENA MALAIKA MCCULLOCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD60489933) |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2023-08-17 |