NPI | 1043887755 |
---|---|
Former Name | SARA LYN CHAMBERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2511873) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH LCDCIII.162838) |
Enumeration Date | 2021-06-10 |
Last Update Date | 2025-05-22 |