| NPI | 1285752196 |
|---|---|
| Former Name | CHARLESETTA SHELTON-SCOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: GA 032472) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: IL 036.120082) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2012-08-02 |