NPI | 1942702675 |
---|---|
Former Name | SARAH JANE LORRAINE PETERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: WY PPC-1125) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-03-08 |
Last Update Date | 2020-08-17 |