| NPI | 1972964773 |
|---|---|
| Former Name | SHARON GROB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IL 71.004209) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 71.004209) |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2021-03-10 |