| NPI | 1023261229 |
|---|---|
| Former Name | SARA ELIZABETH BURRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2008-10-31 |
| Last Update Date | 2008-10-31 |