| NPI | 1942419783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: FL ME111114) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NY 245726-1) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME111114) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-07-22 |