NPI | 1386133387 |
---|---|
Former Name | SARAH WOLTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 4326) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2018-05-04 |
Last Update Date | 2022-05-31 |