NPI | 1538460043 |
---|---|
Former Name | SARAH KATHRYN WHITE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35S100538800) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC00416300) |
Enumeration Date | 2010-11-15 |
Last Update Date | 2022-01-25 |