| NPI | 1558713867 |
|---|---|
| Former Name | CYNTHIA SHERWOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 1506) |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2020-09-14 |