NPI | 1801488010 |
---|---|
Former Name | SARA LYNN DIONNE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 112260) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
1041S0200X Social Worker, School (Licence: CA ASW90395) | |
Enumeration Date | 2021-02-09 |
Last Update Date | 2022-12-06 |