NPI | 1811173586 |
---|---|
Former Name | SARAH T. A. SACKSTEDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH E.0007889) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH LICDC.081024) |
101YM0800X Counselor Mental Health (Licence: OH E.0007889) | |
Enumeration Date | 2008-01-12 |
Last Update Date | 2017-02-09 |