NPI | 1427712892 |
---|---|
Former Name | SARAH JANELLE BERRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1443330921) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2021-10-22 |
Last Update Date | 2024-10-31 |