| NPI | 1750399176 |
|---|---|
| Former Name | SHERRI MENGUAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 005757) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 000767) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2014-09-26 |