NPI | 1194996983 |
---|---|
Former Name | SARA SCHUCHARDT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0031574) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-21-53122) |
Enumeration Date | 2008-03-19 |
Last Update Date | 2025-02-13 |