| NPI | 1154435451 |
|---|---|
| Former Name | ANN MARIE STODART |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 2944) |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy (Licence: NC 1693) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2007-07-08 |