NPI | 1356691950 |
---|---|
Former Name | SARAH BETH BLAIR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 164096) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 268930) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 164096) | |
101YM0800X Counselor, Mental Health (Licence: KY 164096) | |
101YP2500X Counselor, Professional (Licence: KY 00220308) | |
Enumeration Date | 2012-09-12 |
Last Update Date | 2024-03-07 |