| NPI | 1447815584 |
|---|---|
| Former Name | SARA WADLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401019616) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 4101006858) |
| 101YP2500X Counselor, Professional (Licence: MI 6401017278) | |
| Enumeration Date | 2019-05-03 |
| Last Update Date | 2021-08-11 |