| NPI | 1023332681 |
|---|---|
| Former Name | SHARON LYNN BULLOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 7851738) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| 1041S0200X Social Worker, School (Licence: NY 1118061) | |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2025-08-13 |