NPI | 1134407265 |
---|---|
Former Name | CHERRY LYNN COTTINGIM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OK 3786) |
Enumeration Date | 2011-07-22 |
Last Update Date | 2016-11-10 |