NPI | 1588544514 |
---|---|
Former Name | SARINA RAE SANDSTROM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR R11544) |
Additional Taxonomies | 101YS0200X Counselor, School (Licence: OR 572094) |
Enumeration Date | 2025-09-02 |
Last Update Date | 2025-09-02 |