| NPI | 1740521558 |
|---|---|
| Former Name | SARAH ELLA GENE MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2019023328) |
| Enumeration Date | 2013-03-05 |
| Last Update Date | 2023-10-31 |