# MRS. SANDRA ROSE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1366701591
- **Gender:** F
- **Credential:** M.ED.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TB0200X | Cognitive & Behavioral Psychologist | — | NULL | — |
| 106H00000X | Marriage & Family Therapist | AMFT141488 | CA | Yes |

## Other

- **Enumeration date:** 05/08/2012
- **Last updated:** 09/05/2025
