NPI | 1245582956 |
---|---|
Former Name | SARAH LYNN LACHIEWICZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: NC 5784) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY26705) |
103TC0700X Psychologist, Clinical (Licence: NY 020612) | |
Enumeration Date | 2012-10-04 |
Last Update Date | 2020-10-13 |