NPI | 1831468156 |
---|---|
Former Name | SARA KIRKLAND OSBORNE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C007956) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P005613) |
Enumeration Date | 2011-12-14 |
Last Update Date | 2018-08-20 |