| NPI | 1063830107 |
|---|---|
| Former Name | SARAH GHOLAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH12098) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-8687) |
| 101YM0800X Counselor, Mental Health (Licence: CA 12064) | |
| Enumeration Date | 2014-04-05 |
| Last Update Date | 2023-11-14 |