| NPI | 1669510806 |
|---|---|
| Former Name | CAROL ANN SACKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY5650) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 0092731) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2017-12-15 |