| NPI | 1366892044 |
|---|---|
| Former Name | SARA J ROGERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 6969-125) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 16298-132) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 17640-130) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 16134-131) | |
| 101YP2500X Counselor, Professional (Licence: WI 3014-226) | |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2018-11-08 |