NPI | 1518424472 |
---|---|
Former Name | SARAH VINSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P2211000) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR A1902021) |
Enumeration Date | 2019-02-27 |
Last Update Date | 2022-11-09 |