NPI | 1639381296 |
---|---|
Former Name | CHERYL DINSMORE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 1762) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AL LPC01762) |
Enumeration Date | 2007-05-04 |
Last Update Date | 2024-02-08 |