| NPI | 1407561814 |
|---|---|
| Former Name | NATALEE STOCKDALE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 4040) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-01-19 |
| Last Update Date | 2025-09-19 |