NPI | 1235508706 |
---|---|
Former Name | SARAH ROSE KLEIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 28791) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY 28791) |
Enumeration Date | 2015-09-15 |
Last Update Date | 2018-10-01 |