NPI | 1558639203 |
---|---|
Former Name | SARAH DIER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 3134) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071008239) |
Enumeration Date | 2011-12-08 |
Last Update Date | 2019-08-20 |