| NPI | 1790854610 |
|---|---|
| Other Name | MARY KATHLEEN CALLICRATE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR MD13707) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2025-12-16 |