NPI | 1992491245 |
---|---|
Former Name | CHERI LYNN REIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: WA DH00004820) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60556828) |
Enumeration Date | 2023-04-11 |
Last Update Date | 2023-04-11 |