| 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 |