NPI | 1780139584 |
---|---|
Former Name | SARAH JOANNE MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: LA 1432) |
Additional Taxonomies | 103T00000X Psychologist (Licence: LA 1432) |
103TS0200X Psychologist, School (Licence: LA 1432) | |
Enumeration Date | 2016-08-22 |
Last Update Date | 2023-05-03 |