NPI | 1407470602 |
---|---|
Former Name | SARRA ABELLO BASKERVILLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09925622) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW22426) |
Enumeration Date | 2020-06-03 |
Last Update Date | 2024-04-26 |