| NPI | 1689827008 |
|---|---|
| Former Name | SARA MARGARET CROCKETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60311601) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA LH60311601) |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2023-10-23 |