| NPI | 1093106106 |
|---|---|
| Former Name | SABRINA TAYLOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 6401013615) |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2021-05-28 |