| NPI | 1194342436 |
|---|---|
| Other Name | SARA SISSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS LCAC00802) |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2025-01-29 |