| NPI | 1639622731 |
|---|---|
| Former Name | KAITLIN SHERRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.1600307) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH S.1600307) |
| 101YM0800X Counselor, Mental Health (Licence: OH S.1600307) | |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2018-03-17 |