NPI | 1508110925 |
---|---|
Former Name | CHERYL STOTTLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C010137) |
Additional Taxonomies | 104100000X Social Worker (Licence: SC 9476) |
1041C0700X Social Worker, Clinical (Licence: AK 177135) | |
1041C0700X Social Worker, Clinical (Licence: SC 9476) | |
Enumeration Date | 2012-11-07 |
Last Update Date | 2024-05-07 |