NPI | 1073112355 |
---|---|
Former Name | SARAH NICOLE KESLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist |
Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: MI 6361007919) |
Enumeration Date | 2020-10-19 |
Last Update Date | 2024-10-02 |