| NPI | 1225224009 |
|---|---|
| Former Name | SARAH ELIZABETH KOSCINSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 5613) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 696) |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2020-06-25 |