| NPI | 1790959690 |
|---|---|
| Former Name | KATHLEEN MOLLY MCSHANE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME0109948) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2020-03-06 |