| NPI | 1104483262 |
|---|---|
| Former Name | LAURA JANE SARTEN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6851117975) |
| Additional Taxonomies | 225800000X Recreation Therapist |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2024-09-25 |