NPI | 1710100797 |
---|---|
Former Name | SARAH EMILY LEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 16575) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 302159) |
Enumeration Date | 2007-04-10 |
Last Update Date | 2021-03-09 |