| NPI | 1841668845 |
|---|---|
| Former Name | SANDRA MARIE BERRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA MPSSSOFXPM) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2024-02-09 |