NPI | 1578844247 |
---|---|
Former Name | SHERRI LYNN FICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801098756) |
Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401010135) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 6401010135) | |
101YM0800X Counselor, Mental Health (Licence: MI 6401010135) | |
101YP2500X Counselor, Professional (Licence: MI 6401010135) | |
Enumeration Date | 2011-09-07 |
Last Update Date | 2021-02-09 |