| 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 |