| NPI | 1396867073 |
|---|---|
| Former Name | JANINE MARIE BAUMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 1999140465) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 065986) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2019-06-18 |