NPI | 1134375769 |
---|---|
Former Name | SARAH ELIZABETH TROSPER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 019297) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 019297) | |
103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 019297) | |
Enumeration Date | 2008-08-14 |
Last Update Date | 2014-06-16 |