| NPI | 1265901706 |
|---|---|
| Former Name | SARAH LANE WALD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC61038225) |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker (Licence: WA SC61038225) | |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2020-06-15 |