| NPI | 1417513607 |
|---|---|
| Former Name | STACY PATRICIA LOMBARDO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2019-05-14 |