| NPI | 1568839603 |
|---|---|
| Former Name | SARA ANN SIMON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TX 105427) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MO 2015029528) |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2021-09-08 |