| NPI | 1790389534 |
|---|---|
| Former Name | SHERRY-ANN MARIE STREETE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701008833) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0718000397) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0710102685) | |
| Enumeration Date | 2020-11-23 |
| Last Update Date | 2020-11-23 |