NPI | 1902393382 |
---|---|
Former Name | SARAH JEAN SORENSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 2808) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2018-04-20 |
Last Update Date | 2023-12-13 |