| NPI | 1619480571 |
|---|---|
| Former Name | SARAH MARIE GREGORY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WI 9306) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WI 17770) |
| 104100000X Social Worker (Licence: WI 130579) | |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2020-03-13 |