| NPI | 1053731174 |
|---|---|
| Former Name | STEPHANIE OSWALD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60623174) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2020-12-04 |