| NPI | 1336339274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME100796) |
| Additional Taxonomies | 103TP0016X Psychologist, Prescribing (Medical) (Licence: NV 8446NV) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 193619) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NV 8446NV) | |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2021-07-26 |