| NPI | 1346679438 |
|---|---|
| Former Name | COREY JO SCHARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6802080947) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 1-04739) |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2016-11-30 |