NPI | 1144634536 |
---|---|
Former Name | SARAH A SCOZZAFAVA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CT 2549) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CT 2549) |
Enumeration Date | 2014-06-13 |
Last Update Date | 2018-08-10 |