NPI | 1538300884 |
---|---|
Former Name | CHERYL L WITHERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 63101) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 201118) |
Enumeration Date | 2009-03-17 |
Last Update Date | 2009-03-17 |