NPI | 1962780601 |
---|---|
Former Name | SARAH CHAMBERLAIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 88354) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2011-07-29 |
Last Update Date | 2019-03-26 |