| 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 |