NPI | 1124412390 |
---|---|
Other Name | STEPHANIE MEREDITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA APCC9035) |
Additional Taxonomies | 172M00000X Mechanotherapist (Licence: CA 30485) |
225700000X Massage Therapist (Licence: CA 30485) | |
Enumeration Date | 2015-03-25 |
Last Update Date | 2021-03-23 |