| NPI | 1245909852 |
|---|---|
| Former Name | STACY ROHLEDER-FIELDEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 5308) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 19339-130) |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2025-06-13 |