| NPI | 1336664788 |
|---|---|
| Former Name | SARAH MOG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 0012919) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 0000688) |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2022-07-21 |