NPI | 1194387530 |
---|---|
Former Name | SHARI LEVERETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 4441) |
Additional Taxonomies | 101Y00000X Counselor (Licence: AL C3315A) |
Enumeration Date | 2019-07-06 |
Last Update Date | 2021-11-05 |