| NPI | 1386195634 |
|---|---|
| Former Name | SARAH UPHOFF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.020422) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 129856-121) |
| 104100000X Social Worker (Licence: IL 150.015791) | |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2019-12-31 |