NPI | 1003262080 |
---|---|
Former Name | SHERRIE L MEREDITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 6223-125) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MN CC01275) |
Enumeration Date | 2016-05-10 |
Last Update Date | 2020-08-03 |