NPI | 1104197169 |
---|---|
Former Name | SARAH M MOORING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 8993) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 8993) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS1666) | |
Enumeration Date | 2012-01-23 |
Last Update Date | 2024-07-17 |