NPI | 1013423888 |
---|---|
Former Name | KARROLL STYNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 175T00000X Peer Specialist |
101Y00000X Counselor | |
Enumeration Date | 2017-12-15 |
Last Update Date | 2022-01-19 |