| NPI | 1891256160 |
|---|---|
| Former Name | CHEREESE LUPEANN CARRRILLO- EGGLESTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT 70285) |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2024-09-24 |