| NPI | 1477991412 |
|---|---|
| Former Name | STEPHANIE ALYSSA BECKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW019967) |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2022-01-08 |