| NPI | 1982920989 |
|---|---|
| Former Name | SARAH LACEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20042345A) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OH 6621) |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2010-04-15 |