| NPI | 1255145009 |
|---|---|
| Former Name | SARA MARIE ROSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WI 135285-121) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 135285) |
| Enumeration Date | 2025-02-03 |
| Last Update Date | 2025-11-06 |