| NPI | 1962956748 |
|---|---|
| Former Name | SARA ELIZABETH MANG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C011867) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P010639) |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2023-02-15 |