| NPI | 1689680902 |
|---|---|
| Former Name | CHERYL LYNN WHITE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2009-10-01 |