| NPI | 1750792065 |
|---|---|
| Former Name | SARAH ELIZABETH REAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC 10737) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC A21153) |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2018-07-18 |