NPI | 1598094112 |
---|---|
Former Name | SARAH L KEATS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME CC3868) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ME XL3426) |
101YP2500X Counselor, Professional | |
Enumeration Date | 2009-12-10 |
Last Update Date | 2019-09-10 |