NPI | 1083846356 |
---|---|
Former Name | SHERRIE BREAU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 13717) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 1069) |
Enumeration Date | 2009-08-19 |
Last Update Date | 2025-03-22 |