NPI | 1437731981 |
---|---|
Former Name | SARA JEAN DURBIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2021-04-24 |
Last Update Date | 2023-12-18 |