| NPI | 1508137399 |
|---|---|
| Former Name | STEPHANIE GABRIELLE SUMNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY KY-1597) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2013-11-14 |