NPI | 1750042495 |
---|---|
Former Name | SARAH FRANCES HEARN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD SC2694) |
Enumeration Date | 2022-01-05 |
Last Update Date | 2022-01-05 |