NPI | 1568615409 |
---|---|
Former Name | SARAH LAMPORT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: NY 078026) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW70436) |
1041C0700X Social Worker, Clinical (Licence: MA 119313) | |
Enumeration Date | 2008-10-23 |
Last Update Date | 2016-05-16 |