NPI | 1659422657 |
---|---|
Former Name | LUCY ROGERS SHERROUSE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 2641) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2007-01-16 |
Last Update Date | 2022-09-12 |