NPI | 1649832346 |
---|---|
Former Name | SARAH FAIRCHILD SORVALIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC200001626) |
Additional Taxonomies | 104100000X Social Worker (Licence: DC LG50082938) |
Enumeration Date | 2019-07-02 |
Last Update Date | 2022-06-20 |