NPI | 1619212016 |
---|---|
Former Name | SARAH MICHELE SCOTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 1157) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2012-12-11 |
Last Update Date | 2016-06-22 |