NPI | 1003368358 |
---|---|
Former Name | STEPHANIE ANN HUNDLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: ID LCPC-7165) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: ID LCPC-7165) |
101YP2500X Counselor Professional (Licence: ID SUPERVISOR) | |
106H00000X Marriage & Family Therapist (Licence: ID LAMFT-6458) | |
172V00000X Community Health Worker (Licence: ID LCPC-7165) | |
Enumeration Date | 2016-11-02 |
Last Update Date | 2019-01-04 |