| NPI | 1710011911 |
|---|---|
| Former Name | SHERI LEDEBUR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L6079) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 11-12-06) |
| 225700000X Massage Therapist (Licence: OR 5842) | |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2019-05-22 |