| NPI | 1952018657 |
|---|---|
| Former Legal Business Name | SARAH A. RUSSELL P.C. |
| Entity Type | Organization |
| Authorized Contact | SARAH RUSSELL President 773-492-1844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-11-01 |
| Last Update Date | 2022-11-01 |