NPI | 1376611996 |
---|---|
Former Name | PAIGE N. CREIGHTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: ME 2003) |
Enumeration Date | 2006-12-01 |
Last Update Date | 2011-10-31 |