| NPI | 1336520337 |
|---|---|
| Former Name | PAIGE ELIZABETH STAFFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 77391) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2024-03-11 |