| NPI | 1124265657 |
|---|---|
| Former Name | STACEY M CHUFFO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810004329) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY22338) |
| Enumeration Date | 2009-01-21 |
| Last Update Date | 2011-02-16 |