NPI | 1982708400 |
---|---|
Former Name | SARA LYNN KOBIELA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801087683) |
Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801087683) |
Enumeration Date | 2006-09-13 |
Last Update Date | 2020-08-24 |