| NPI | 1003058132 |
|---|---|
| Former Name | SHERRY LYNN HENDRICKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: OK R0069071) |
| Enumeration Date | 2009-04-03 |
| Last Update Date | 2009-04-03 |