NPI | 1457767642 |
---|---|
Former Name | SARAH E. CRUCE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IN 20043062A) |
Additional Taxonomies | 103T00000X Psychologist (Licence: KY PSYLIP00210705) |
103TC0700X Psychologist, Clinical (Licence: IN 20043062A) | |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: KY PSYLIP00210705) | |
Enumeration Date | 2014-07-08 |
Last Update Date | 2022-08-11 |