NPI | 1730486218 |
---|---|
Former Name | CHERYL DENISE NELSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: UT 161706270) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2011-02-18 |
Last Update Date | 2013-06-24 |