NPI | 1154791929 |
---|---|
Former Name | SARAH E. MARTY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO 2021046651) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC0016949) |
Enumeration Date | 2015-10-05 |
Last Update Date | 2024-09-09 |