NPI | 1972944148 |
---|---|
Former Name | CHERI ALLYSON BRUNORY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC007023) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC007023) |
Enumeration Date | 2013-07-16 |
Last Update Date | 2021-06-10 |