| NPI | 1306561170 |
|---|---|
| Former Name | SARAH ELIZABETH MAINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801117576) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6851112872) |
| Enumeration Date | 2022-10-05 |
| Last Update Date | 2024-01-30 |