| NPI | 1215260641 |
|---|---|
| Former Name | SARAH M VIAMONTE WIESNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CO 3663) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NE 368) |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2021-02-19 |