| NPI | 1639543127 |
|---|---|
| Former Name | SADIE FORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 37234) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 74685) |
| 103T00000X Psychologist | |
| 103TC0700X Psychologist, Clinical (Licence: TX 37234) | |
| 103TC1900X Psychologist, Counseling (Licence: TX 37234) | |
| Enumeration Date | 2015-11-20 |
| Last Update Date | 2021-08-16 |