| 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 |