NPI | 1063602902 |
---|---|
Former Name | STEPHANIE A. RENSCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: DE PC-0000416) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: DE PC-0000416) |
Enumeration Date | 2007-07-26 |
Last Update Date | 2009-01-15 |