| NPI | 1417164344 |
|---|---|
| Former Name | STACY LACOLE SALMON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 10113) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2022-10-24 |