| NPI | 1154051993 |
|---|---|
| Former Name | SARAH NICOLE STAFFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6451022404) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-06-14 |
| Last Update Date | 2022-12-06 |