| NPI | 1790129617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME132781) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: FL ME132781) | |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2026-05-20 |