| NPI | 1376718072 |
|---|---|
| Former Name | ELAINE SANFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C006295) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 965606) |
| 1041C0700X Social Worker, Clinical (Licence: OH I0028072-S) | |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2009-07-01 |