NPI | 1740737980 |
---|---|
Former Name | SARAH ANN KORNEGAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0017259) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2016-09-06 |
Last Update Date | 2025-02-18 |