NPI | 1144247172 |
---|---|
Former Name | SARA LYNN CASTO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35098621) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AL 19171) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY 48323) | |
Enumeration Date | 2006-07-16 |
Last Update Date | 2021-03-18 |