| NPI | 1801381843 |
|---|---|
| Former Name | SARA ANN NELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 001630) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IA 001630) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IA 001630) | |
| 101YP2500X Counselor, Professional (Licence: IA 001630) | |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2024-10-28 |