| NPI | 1164845103 |
|---|---|
| Former Name | STEPHANIE ANN POPE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CA IMF 16560) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF65160) |
| Enumeration Date | 2014-01-28 |
| Last Update Date | 2014-04-14 |