| NPI | 1235311325 |
|---|---|
| Former Name | STACI KIRCHBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2010-02-02 |