NPI | 1336162213 |
---|---|
Former Name | CHERRY LOUISE SHAFFER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 18833) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 1660) |
Enumeration Date | 2006-07-25 |
Last Update Date | 2012-01-24 |