| NPI | 1629401310 |
|---|---|
| Former Name | MARY ANNE JACOBS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NY 140708) |
| Enumeration Date | 2013-08-16 |
| Last Update Date | 2023-07-05 |