NPI | 1073282174 |
---|---|
Former Name | SARAH KORTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW22250) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LMSW-18857) |
Enumeration Date | 2021-09-10 |
Last Update Date | 2024-06-04 |