| NPI | 1396174660 |
|---|---|
| Other Name | STACY EILEEN JOSEPH OR TOHL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: CA LMFT 21539) |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2013-11-06 |