Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | ||
N | 101YP2500X | Professional Counselor | ||
N | 103TC1900X | Counseling Psychologist |
NPI | 1063079382 |
---|---|
Provider Name | Mrs. Sarah Jean Roemer |
First Address | Jamaica Plain, MA 02130-3922 |
Second Address | Quincy, MA 02169-8130 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2019 |
Last Update Date | 22/05/2019 |