NPI | 1669718243 |
---|---|
Former Name | SARAH ROSEN BRAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP6323) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 9638) |
103TC0700X Psychologist, Clinical (Licence: MN GL0076) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN GL0076) | |
Enumeration Date | 2012-12-30 |
Last Update Date | 2020-08-24 |