| NPI | 1720113921 |
|---|---|
| Former Name | STEPHANIE LYNN WEINBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301081656) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2008-10-01 |