| NPI | 1023415775 |
|---|---|
| Former Name | SARA FIDLOW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.017099) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 140.017099) |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2026-07-07 |