| NPI | 1255444790 |
|---|---|
| Former Name | QUIANDA NICHELLE STANLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101Y00000X Counselor (Licence: VA 0710101764) |
| 101YP2500X Counselor Professional (Licence: VA 0701003705) | |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2020-10-30 |