| NPI | 1174831853 |
|---|---|
| Former Name | STEFANIE DORA LINDLAU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH11960) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT2812) |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2022-07-04 |