NPI | 1215994090 |
---|---|
Former Name | STEPHANIE H CIMMET |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CC2454) |
Additional Taxonomies | 101Y00000X Counselor (Licence: ME CC2454) |
Enumeration Date | 2006-04-27 |
Last Update Date | 2022-07-21 |