| NPI | 1558514372 |
|---|---|
| Former Name | SHERRY ELLEN BERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA LMC 770) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MA LMFT 399) |
| Enumeration Date | 2008-10-23 |
| Last Update Date | 2008-10-23 |