| NPI | 1053709618 |
|---|---|
| Former Name | STEPHENIE J CREEGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IA 100902) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2024-10-01 |