NPI | 1487840666 |
---|---|
Former Name | DEBORAH STAMM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AK 596) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AK 596) |
101YM0800X Counselor, Mental Health (Licence: AK 596) | |
Enumeration Date | 2007-09-20 |
Last Update Date | 2019-08-22 |