NPI | 1982339016 |
---|---|
Former Name | CHERYL THERESE HAMMOND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 129024) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: KY 129024) |
Enumeration Date | 2022-07-21 |
Last Update Date | 2025-04-07 |