NPI | 1700359361 |
---|---|
Former Name | SHERRY LYNN MANCINI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.166919) |
Enumeration Date | 2019-01-07 |
Last Update Date | 2025-09-09 |