NPI | 1326636044 |
---|---|
Former Name | SARA MARIE VANHANDEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 9458-123) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 17017-132) |
1041C0700X Social Worker, Clinical (Licence: MI 6801116062) | |
Enumeration Date | 2021-01-07 |
Last Update Date | 2023-04-03 |