| NPI | 1205331386 |
|---|---|
| Former Name | STEPHANIE LEE WILLMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178913472.) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: 178013472) |
| 101YP2500X Counselor, Professional (Licence: IL 178013472) | |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2023-01-04 |