| 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) |
| Enumeration Date | 2021-10-22 |
| Last Update Date | 2021-10-22 |