| NPI | 1255716486 |
|---|---|
| Former Name | STEFANI MCCORMICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2023-12-15 |