| NPI | 1033368659 |
|---|---|
| Former Name | SARA R CORBIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: KS 2005) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MO 2011031728) |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2014-12-09 |