NPI | 1154827012 |
---|---|
Former Name | SHERI CHRISTINE BLACK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TA0700X Psychologist, Adult Development & Aging (Licence: CO PSYC.00013522) |
Enumeration Date | 2018-03-31 |
Last Update Date | 2021-08-05 |