NPI | 1285837609 |
---|---|
Former Name | PATRICIA S SAGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 073353) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2007-06-06 |
Last Update Date | 2017-02-24 |