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 |