| NPI | 1003061946 |
|---|---|
| Other Name | SHELLEY SUE STISSER-MCCRAIGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0155941) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC12877) |
| Enumeration Date | 2008-11-19 |
| Last Update Date | 2018-03-17 |