| NPI | 1548621154 |
|---|---|
| Former Name | STACY ANNE BARNES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 75436) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 75436) |
| Enumeration Date | 2016-03-09 |
| Last Update Date | 2019-01-07 |