| NPI | 1104474410 |
|---|---|
| Professional Name | STEPHANIE A NISLE-MIKOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0017134) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2022-09-21 |