NPI | 1912663840 |
---|---|
Former Name | CHERYL PENCE WOLF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AZ LPC-19977) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: KY LPCC-S-252425) |
Enumeration Date | 2021-11-15 |
Last Update Date | 2021-11-15 |