| NPI | 1477933232 |
|---|---|
| Former Name | STEPHANIE LAKE GIARDINA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 224761) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2024-10-03 |