| NPI | 1336380211 |
|---|---|
| Former Name | SARAH COBURN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 117398) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2009-03-23 |
| Last Update Date | 2017-11-16 |