| NPI | 1316324478 |
|---|---|
| Former Name | STEPHANIE MENDEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 0071401) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P95403) |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2023-12-11 |