NPI | 1073048237 |
---|---|
Former Name | SARAH MARGARET WADE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CO LPC.001339) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: AL 3521) |
101YP2500X Counselor Professional (Licence: CO LPC.0013399) | |
221700000X Art Therapist (Licence: 11-121) | |
Enumeration Date | 2017-04-25 |
Last Update Date | 2021-11-09 |