NPI | 1356884126 |
---|---|
Former Name | SHERYL ANN MITCHELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA A055441219) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 1356884126) |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
Enumeration Date | 2016-11-29 |
Last Update Date | 2023-02-13 |