| NPI | 1962065037 |
|---|---|
| Former Name | SARAH DERAKHSHANIAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101281735) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME164421) |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2024-05-02 |