NPI | 1467764852 |
---|---|
Former Name | KATHY JO STADLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DE LPC0000664) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC3900) |
Enumeration Date | 2010-07-14 |
Last Update Date | 2014-05-06 |