| NPI | 1255580338 |
|---|---|
| Former Name | STEPHANIE PAIGE DICUS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional (Licence: AR P1303027) | |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2021-05-05 |