| NPI | 1093261968 |
|---|---|
| Former Name | SARA BETH PAVILIONIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ND 5295) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ND 5295) |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2023-03-28 |