NPI | 1427193820 |
---|---|
Former Name | STACIA A POWERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 101YP2500X Counselor, Professional |
Enumeration Date | 2007-02-21 |
Last Update Date | 2022-10-26 |