| NPI | 1124495098 |
|---|---|
| Former Name | STACI MENIX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: KY 7394) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1903345) |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2024-02-22 |