NPI | 1215481163 |
---|---|
Former Name | SARAH LYNN CERVANTES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L12245) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 9926266) |
Enumeration Date | 2016-08-09 |
Last Update Date | 2024-05-21 |