| NPI | 1952399750 |
|---|---|
| Former Name | JANELLIE RAMOS MESTEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: FL ME47647) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH8459) |
| 208000000X Pediatrics (Licence: FL ME47647) | |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2022-01-06 |