| NPI | 1295285955 |
|---|---|
| Former Name | SANDRA E PRIOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 03350) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802086508) |
| 104100000X Social Worker (Licence: IA 03350) | |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801100091) | |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2021-07-22 |