| NPI | 1144915620 |
|---|---|
| Former Name | CHEREL TOLLIVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA CO61389221) |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2023-04-10 |