NPI | 1225668163 |
---|---|
Former Name | SARA FAITH WILBER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 10122-125) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2020-01-20 |
Last Update Date | 2023-02-28 |