NPI | 1083062582 |
---|---|
Former Name | SARAH STANWOOD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW94975) |
Additional Taxonomies | 101Y00000X Counselor |
104100000X Social Worker | |
1041C0700X Social Worker, Clinical (Licence: IL 149.020696) | |
Enumeration Date | 2016-05-25 |
Last Update Date | 2024-06-20 |