| NPI | 1780986448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME121537) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MT195787) |
| 2084P0805X (Licence: FL ME121537) | |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2023-04-21 |