NPI | 1386079143 |
---|---|
Former Name | STEPHANIE LAUREN REITER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: IL 180.012887) |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor, Mental Health (Licence: NY 008518) | |
101YM0800X Counselor, Mental Health | |
101YP2500X Counselor, Professional (Licence: CA 3665) | |
101YP2500X Counselor, Professional | |
Enumeration Date | 2013-09-11 |
Last Update Date | 2022-05-17 |