| NPI | 1831330257 |
|---|---|
| Professional Name | SALLY J ROUSSEAU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 000449) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 73 076601) |
| Enumeration Date | 2009-03-14 |
| Last Update Date | 2009-03-14 |