NPI | 1154708303 |
---|---|
Former Name | SARA ELIZABETH JOHNS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: OH P.07774) |
Enumeration Date | 2015-04-27 |
Last Update Date | 2018-09-12 |