NPI | 1386782951 |
---|---|
Former Name | SARAH WAKEFIELD KENEALY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME CC4881) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VT 0680000448) |
Enumeration Date | 2007-02-03 |
Last Update Date | 2019-03-08 |