NPI | 1265668818 |
---|---|
Former Name | SARAH ANN HAUSSMANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: MA 403756) |
Additional Taxonomies | 103T00000X Psychologist (Licence: MA LEP1018) |
Enumeration Date | 2009-06-09 |
Last Update Date | 2024-10-25 |