NPI | 1164845764 |
---|---|
Former Name | SARAH ANN ISSENMANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C009824) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P008458) |
Enumeration Date | 2014-02-03 |
Last Update Date | 2021-10-12 |