| NPI | 1417601584 |
|---|---|
| Former Name | SARA CRAIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.027408) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 36478) |
| Enumeration Date | 2022-02-08 |
| Last Update Date | 2024-08-15 |