| NPI | 1952711087 |
|---|---|
| Former Name | CHERYL BRANTLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401003217) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6802060490) |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2014-04-29 |