| NPI | 1518164193 |
|---|---|
| Former Name | SHARON BUSH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 014154-1) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CT 003889) |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2025-09-19 |