| NPI | 1760940027 |
|---|---|
| Former Name | SARAH ANN MASON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MT BBH-LCPC-LIC-44272) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT BBH-LAC-LIC-38100) |
| 101YM0800X Counselor, Mental Health (Licence: MT BBH-PCLC-LIC-31487) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT BBH-ACLC-LIC-30295) | |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2024-01-02 |