NPI | 1588987770 |
---|---|
Former Name | SARAH TLUSTOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CO PSY.0003935) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CO PSY.0003935) |
103TR0400X Psychologist, Rehabilitation (Licence: CO PSY.0003935) | |
Enumeration Date | 2010-03-02 |
Last Update Date | 2024-10-21 |