| NPI | 1619187259 |
|---|---|
| Former Name | SHARON LYNN MIERAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ 4417) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 23752) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2024-04-01 |