Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor |
NPI | 1003380353 |
---|---|
Provider Name | Cherilyn D Larkins |
First Address | North East, MD 21901-2759 |
Second Address | Bel Air, MD 21014-3442 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2019 |
Last Update Date | 18/01/2019 |