NPI | 1013326305 |
---|---|
Former Name | SARAH BETH BRENNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: OH P.08143) |
Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: OH P.08143) |
Enumeration Date | 2014-08-12 |
Last Update Date | 2022-07-25 |