NPI | 1518369164 |
---|---|
Former Name | SARAH OLIVIA STORIE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IA 001600) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 74983) |
Enumeration Date | 2014-09-25 |
Last Update Date | 2024-09-16 |