NPI | 1154995462 |
---|---|
Former Name | SARAH ROSE VITALE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: OH P.08319) |
Enumeration Date | 2021-05-20 |
Last Update Date | 2025-06-13 |