| NPI | 1124342415 |
|---|---|
| Former Name | SANDRA KAY SUTTON (MAIDEN) |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L4574) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 00520-L) |
| 1041C0700X Social Worker, Clinical (Licence: NV 2780-C) | |
| Enumeration Date | 2010-03-16 |
| Last Update Date | 2010-05-17 |