NPI | 1841681129 |
---|---|
Former Name | SARA ALISON KOSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801118081) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: IL 096.003597) |
Enumeration Date | 2015-02-09 |
Last Update Date | 2025-06-24 |