| NPI | 1194908665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: FL ME 107989) |
| Additional Taxonomies | 174400000X Specialist (Licence: OH 35.081689) |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: FL ME 107989) | |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2011-02-04 |