| NPI | 1992992036 |
|---|---|
| Former Name | DOROTHY ANNE SACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-08637) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM I-08637) |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2023-04-22 |