| 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 |