| NPI | 1346546157 |
|---|---|
| Former Name | STACIE A SEAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 79267) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 79267) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2011-01-27 |
| Last Update Date | 2022-05-12 |