| NPI | 1033479167 |
|---|---|
| Former Name | SARA ANNE SHOWALTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801094090) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904007563) |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2023-06-02 |