| NPI | 1609602440 |
|---|---|
| Former Name | SHERI LYNN KRUSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 4564) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-09-09 |
| Last Update Date | 2024-09-10 |