NPI | 1831213313 |
---|---|
Former Name | SARA MAYS ACKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: MA 9040) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
103TC0700X Psychologist, Clinical (Licence: MA 9040) | |
103TH0004X Psychologist, Health | |
Enumeration Date | 2007-03-19 |
Last Update Date | 2019-01-10 |