Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | LCA304 | MD |
Y | 104100000X | Social Worker | 07359 | MD |
NPI | 1003230442 |
---|---|
Provider Name | Mrs. Sara A Haina |
First Address | White Plains, MD 20695-3045 |
Second Address | White Plains, MD 20695-3045 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/02/2014 |
Last Update Date | 10/06/2019 |