| NPI | 1568938686 |
|---|---|
| Former Name | SARA ANN MOODY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 66734) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2016021530) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904008930) | |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2019-05-20 |