| NPI | 1073745030 |
|---|---|
| Former Name | MIA MARIE GINTOFT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: NY 254402) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NY 254402) |
| Enumeration Date | 2009-08-10 |
| Last Update Date | 2019-02-14 |