NPI | 1992995062 |
---|---|
Former Name | SARAH KATHRYN DUROSS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY25218) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA 25218) |
Enumeration Date | 2007-07-26 |
Last Update Date | 2023-08-04 |