| NPI | 1083792493 |
|---|---|
| Former Name | CHERYL CARPENTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NJ 37PC00322700) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NJ 37LC00026600) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2024-05-14 |