| NPI | 1770295123 |
|---|---|
| Doing Business As | SARA ELLEN ROSENQUIST PH.D., ABPP LLC |
| Entity Type | Organization |
| Authorized Contact | SARA ROSENQUIST Executive Officer 866-337-4911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2022-12-16 |
| Last Update Date | 2023-01-09 |