| NPI | 1811367279 |
|---|---|
| Former Name | CHERYL A MUMMERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA #PC007326) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY #006614) |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2016-09-26 |