NPI | 1073993143 |
---|---|
Former Name | SADIE MONAGHAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 10138) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WY 631) |
Enumeration Date | 2015-06-04 |
Last Update Date | 2025-03-13 |