| NPI | 1528344884 |
|---|---|
| Former Name | STACEY DANSBERRY HIGGINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2011035777) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 9910) |
| Enumeration Date | 2011-10-31 |
| Last Update Date | 2022-07-21 |