NPI | 1376856674 |
---|---|
Former Name | SARA SOLOMON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: CA 126630) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NY 001024-01) |
Enumeration Date | 2010-07-15 |
Last Update Date | 2024-09-16 |