| NPI | 1487991014 |
|---|---|
| Former Name | SARA TABASKA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 5572-125) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2013-01-16 |
| Last Update Date | 2023-12-11 |