| NPI | 1104063130 |
|---|---|
| Former Name | CHERYL MARYE BAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E0500464) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TN 11072541) |
| 101YP2500X Counselor, Professional (Licence: TN LPC0000004166) | |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2018-08-09 |