NPI | 1396066684 |
---|---|
Former Name | SARAH LARSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TF0200X Psychologist, Forensic (Licence: CA PSY26634) |
Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: CA PSY26634) |
103TB0200X Psychologist, Cognitive & Behavioral | |
Enumeration Date | 2010-06-21 |
Last Update Date | 2016-08-29 |