| NPI | 1205089273 |
|---|---|
| Former Name | SHERRI LYNN SEVERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 7472) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2008032518) |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2021-07-12 |