| NPI | 1255720546 |
|---|---|
| Former Name | SIERRA MARIE BUMSTED |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041S0200X Social Worker, School |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2019-01-07 |