NPI | 1184859209 |
---|---|
Former Name | SARA JEAN MCCANE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: TN 2806) |
Additional Taxonomies | 103TS0200X Psychologist, School |
Enumeration Date | 2009-05-19 |
Last Update Date | 2009-05-19 |