| NPI | 1811300262 |
|---|---|
| Former Name | SARAH MONGEAU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY lpcpcc00222191) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY ky-1646) |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2015-11-11 |