NPI | 1437458460 |
---|---|
Former Name | SARA LYNN JAMES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 2012033737) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MO 2012033737) |
Enumeration Date | 2011-03-16 |
Last Update Date | 2021-06-08 |