| NPI | 1821465030 |
|---|---|
| Former Name | SARAH SWENSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD 6013) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MD 06013) |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2023-05-05 |