NPI | 1194959668 |
---|---|
Former Name | STEFANIE K DELISSER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH11421) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2009-05-12 |
Last Update Date | 2019-12-02 |