| NPI | 1205044476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: FL ME 111503) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NY 250167) |
| 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: FL ME 111503) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME 111503) | |
| Enumeration Date | 2007-05-19 |
| Last Update Date | 2014-09-04 |