| NPI | 1326382615 |
|---|---|
| Former Name | STACEY BETH RICKARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 170300000X Genetic Counselor, MS (Licence: CA 16187) |
| Additional Taxonomies | 170300000X Genetic Counselor, MS |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2016-09-14 |