| NPI | 1710344650 |
|---|---|
| Former Name | SARAH HOPE DAUGHERTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACB.0008072) |
| Enumeration Date | 2016-01-22 |
| Last Update Date | 2016-07-28 |