| NPI | 1386910156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH C ROSENBAUM Sole Proprietor 267-972-9001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS008962) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2012-03-27 |