| NPI | 1861221830 |
|---|---|
| Former Name | GINA LYNN SAKARIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 13824) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 8000) |
| Enumeration Date | 2024-07-29 |
| Last Update Date | 2024-07-29 |