| NPI | 1518210038 |
|---|---|
| Former Name | SHERRY LYNN JESSUP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 8440) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701005591) |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2023-01-06 |