NPI | 1518193036 |
---|---|
Former Name | SARAH WALKER DAOUST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 11853) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VT 048.0066713) |
Enumeration Date | 2009-06-10 |
Last Update Date | 2022-08-24 |