NPI | 1205439387 |
---|---|
Former Name | SARAH ANN LONG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 75545) |
Additional Taxonomies | 101Y00000X Counselor (Licence: TX 75545) |
101YM0800X Counselor, Mental Health (Licence: TX 75545) | |
Enumeration Date | 2020-11-19 |
Last Update Date | 2020-11-19 |