NPI | 1881165991 |
---|---|
Former Name | SARAH A. TALLMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 9867-123) |
Additional Taxonomies | 104100000X Social Worker (Licence: WI 12575-120) |
Enumeration Date | 2018-12-16 |
Last Update Date | 2022-06-06 |