| NPI | 1780846162 |
|---|---|
| Former Name | TERRI LYNN SORY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA N/A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2008-06-27 |