| NPI | 1275661522 |
|---|---|
| Former Name | STACY KAY RAWLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 62092) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 201018) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2007-10-18 |