| NPI | 1225352487 |
|---|---|
| Former Name | STEPHANIE MICHELLE NAGLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 123421) |
| Enumeration Date | 2010-03-17 |
| Last Update Date | 2021-10-07 |