| NPI | 1821106279 |
|---|---|
| Former Name | SARA ELBA BOGESTAD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP4754) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: SD 491) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: SD 491) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MN LP4754) | |
| Enumeration Date | 2006-08-27 |
| Last Update Date | 2016-12-23 |