| NPI | 1356780738 | 
|---|---|
| Former Name | STEPHANIE WINFIELD SCOTT | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401012364)  | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 000656-1)  | 
| Enumeration Date | 2013-06-19 | 
| Last Update Date | 2013-06-19 |