| NPI | 1649721911 |
|---|---|
| Former Name | SARA ROSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C008250) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 11007) |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2022-01-14 |