NPI | 1205275328 |
---|---|
Former Name | SARAH ELIZABETH CARPENTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: ID LCPC5809) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: ID LPC - 5289) |
Enumeration Date | 2013-06-21 |
Last Update Date | 2023-07-07 |