Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker |
NPI | 1003047028 |
---|---|
Provider Name | Ms. Sarah Catherine Eilers |
First Address | Lynn, MA 01901-1314 |
Second Address | Lynn, MA 01901-1314 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/08/2009 |
Last Update Date | 07/09/2012 |