| NPI | 1972876787 |
|---|---|
| Former Name | SARA ENDICOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NC 8414) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NC A8414) |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2013-12-06 |