NPI | 1336796366 |
---|---|
Former Name | SARAH CARLIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6361007744) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6362002040) |
103TC0700X Psychologist, Clinical (Licence: MI 6301018034) | |
Enumeration Date | 2019-08-23 |
Last Update Date | 2022-09-22 |