NPI | 1578744165 |
---|---|
Former Name | SARAH E LEITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: VT 068.0092959) |
Additional Taxonomies | 101Y00000X Counselor (Licence: MO 2007035527) |
101YM0800X Counselor Mental Health (Licence: MO 20107035527) | |
101YP2500X Counselor Professional (Licence: MO 2007035527) | |
101YP2500X Counselor Professional (Licence: VT 068.0092959) | |
101Y00000X Counselor (Licence: VT 068.0092959) | |
Enumeration Date | 2007-11-24 |
Last Update Date | 2013-06-12 |