NPI | 1376830349 |
---|---|
Former Name | STEPHANIE DAWN STROUPE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 26547) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P014955) |
173C00000X Reflexologist (Licence: NC 3269) | |
Enumeration Date | 2011-06-29 |
Last Update Date | 2023-11-28 |