Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor | ||
N | 225400000X | Rehabilitation Practitioner |
NPI | 1043644206 |
---|---|
Provider Name | Sarah Bahret |
First Address | Pahrump, NV 89048-5368 |
Second Address | Pahrump, NV 89048-5368 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2013 |
Last Update Date | 09/12/2014 |