| NPI | 1578002390 |
|---|---|
| Former Name | STEPHANIE PASSMORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 92301) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH61280846) |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2023-10-26 |