| NPI | 1376687301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME147052) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MO 2009001634) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2009001634) | |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2023-06-07 |