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 |