NPI | 1053752048 |
---|---|
Former Name | SARAH R VAUGHAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401014789) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YM0800X Counselor, Mental Health (Licence: MI 6401014789) | |
Enumeration Date | 2013-07-08 |
Last Update Date | 2022-08-09 |