| NPI | 1619993656 |
|---|---|
| Former Name | MIA JANICE ROBINSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology Geriatric Psychiatry (Licence: GA 055007) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2022-02-11 |