| NPI | 1053569780 |
|---|---|
| Former Name | CHERYL HEATHER COLEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH9574) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: FL MH9574) |
| Enumeration Date | 2008-09-06 |
| Last Update Date | 2016-06-17 |