| NPI | 1245759364 |
|---|---|
| Former Name | SUSAN LYNNE CHERRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-20196) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WY PPC-1031) |
| 101YM0800X Counselor, Mental Health (Licence: WY PPC-1031) | |
| 101YP2500X Counselor, Professional (Licence: WY PPC-1031) | |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2022-08-31 |