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 |