NPI | 1184479560 |
---|---|
Former Name | SHERRI WAKEFIELD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 306694) |
Additional Taxonomies | 104100000X Social Worker (Licence: MN 32773) |
Enumeration Date | 2024-04-19 |
Last Update Date | 2024-04-19 |