NPI | 1508175142 |
---|---|
Former Name | SARAH ELIZABETH JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: NC 4899) |
Additional Taxonomies | 103TS0200X Psychologist, School (Licence: AZ 4190736) |
Enumeration Date | 2010-09-30 |
Last Update Date | 2023-08-25 |