NPI | 1699106831 |
---|---|
Former Name | SARAH BLASER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IA 085845) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: IA 12080) |
Enumeration Date | 2013-12-12 |
Last Update Date | 2019-05-01 |