NPI | 1700414083 |
---|---|
Former Name | SABRINA MCCAULEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC10683) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WV 2499) |
Enumeration Date | 2020-03-31 |
Last Update Date | 2025-01-15 |