| NPI | 1588010706 |
|---|---|
| Former Name | SARAH SHAKIRA NICHOLAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 1955) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 23447) |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2019-03-12 |