| NPI | 1295374080 |
|---|---|
| Former Name | SARAH JEAN SUBY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 2295) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 303897) |
| Enumeration Date | 2019-12-27 |
| Last Update Date | 2020-06-09 |