NPI | 1689616781 |
---|---|
Former Name | SHERRI JOANNE PHENICIE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701002622) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717000373) |
Enumeration Date | 2006-06-12 |
Last Update Date | 2023-01-05 |