NPI | 1548564420 |
---|---|
Former Name | SARAH BETH JAMISON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C3151) |
Additional Taxonomies | 101Y00000X Counselor (Licence: OR C3151) |
Enumeration Date | 2011-01-06 |
Last Update Date | 2023-07-25 |