NPI | 1982879425 |
---|---|
Former Name | SARA MICHELLE O'NEAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
Additional Taxonomies | 103TH0004X Psychologist, Health |
103TR0400X Psychologist, Rehabilitation | |
Enumeration Date | 2008-04-25 |
Last Update Date | 2022-03-01 |