NPI | 1295701068 |
---|---|
Former Name | SHERRY LYNNE BENNETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NE 65) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 520) |
101YP2500X Counselor, Professional (Licence: NE 398) | |
Enumeration Date | 2006-02-23 |
Last Update Date | 2024-02-02 |