NPI | 1518126457 |
---|---|
Former Name | STEPHANIE KAY BUELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: WA PY60207930) |
Additional Taxonomies | 103T00000X Psychologist (Licence: WA 60207930) |
103TC1900X Psychologist, Counseling (Licence: CA 32718) | |
Enumeration Date | 2008-06-05 |
Last Update Date | 2021-10-04 |