NPI | 1316252323 |
---|---|
Former Name | SARAH ANN LADD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401224283) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401011362) |
101YP2500X Counselor, Professional (Licence: 6401224283) | |
Enumeration Date | 2010-08-13 |
Last Update Date | 2024-05-29 |