NPI | 1932500030 |
---|---|
Former Name | SARAH E DUVALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6361000855) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301016023) |
Enumeration Date | 2014-09-08 |
Last Update Date | 2021-07-13 |