| NPI | 1124889621 |
|---|---|
| Former Name | SARAH BOREN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 13765) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NE 7978) |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2024-01-22 |