| NPI | 1174284319 |
|---|---|
| Former Name | STEPHANIE HUTCHISON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0017903) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 15268) |
| Enumeration Date | 2022-01-09 |
| Last Update Date | 2022-01-09 |