| NPI | 1629136270 |
|---|---|
| Professional Name | SANDRA LYNN MCCORMICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MI 6301013720) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MI 6401007916) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2022-02-25 |