NPI | 1134280761 |
---|---|
Former Name | SARAH KATHERINE MAIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SC 486) |
101YP2500X Counselor, Professional (Licence: SC 4639) | |
Enumeration Date | 2006-12-13 |
Last Update Date | 2025-03-26 |