| NPI | 1063654697 |
|---|---|
| Former Name | CHERYL BRAY MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 1942) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 8429) |
| 101YP2500X Counselor, Professional (Licence: MS 981) | |
| Enumeration Date | 2009-03-27 |
| Last Update Date | 2017-01-13 |