| NPI | 1679647382 |
|---|---|
| Former Name | SARA BRANDT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 43956) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E0004271) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2008-09-04 |