| NPI | 1386858520 |
|---|---|
| Former Name | SARA RENEE MAST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801085296) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801085296) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2016-01-19 |