| NPI | 1154028991 |
|---|---|
| Other Name | SARA WALDRON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WI 129820-121) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WI 20557-130) |
| 101YM0800X Counselor Mental Health (Licence: WI 129820-121) | |
| Enumeration Date | 2023-02-13 |
| Last Update Date | 2024-04-29 |