NPI | 1790771251 |
---|---|
Former Name | SHERRY LYNN BURK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ 4906) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YP2500X Counselor, Professional (Licence: AZ LPC -1730) | |
Enumeration Date | 2005-09-21 |
Last Update Date | 2024-08-29 |