| NPI | 1801567581 |
|---|---|
| Former Name | SARA MARIE THANE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TN 7876) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MT BBH-LCSW-LIC-49513) |
| Enumeration Date | 2021-09-23 |
| Last Update Date | 2023-07-05 |