| NPI | 1932895745 |
|---|---|
| Former Name | SARAH REBECCA SIVIA BARAJAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: OH RN.399219) |
| Enumeration Date | 2023-04-14 |
| Last Update Date | 2023-04-14 |