NPI | 1558350918 |
---|---|
Former Name | SARAH LYNN MABBOTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NM 86371) |
Additional Taxonomies | 101YP2500X Counselor, Professional |
Enumeration Date | 2005-10-18 |
Last Update Date | 2022-12-09 |