| NPI | 1073830691 |
|---|---|
| Former Name | SARA JANE BUSKIRK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801091161) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6801091161) |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2025-06-09 |