| NPI | 1962496406 |
|---|---|
| Former Name | CHERYL LEE MCCORMICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MO CS000807) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO SW001784) |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2007-07-08 |