NPI | 1245588516 |
---|---|
Former Name | SARAH LANE YOUNG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW13671) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL ISW 7290) |
Enumeration Date | 2012-08-16 |
Last Update Date | 2017-01-30 |