NPI | 1578005377 |
---|---|
Former Name | STEFANI LOWE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: HI 495) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: HI 1889-16) |
Enumeration Date | 2016-11-09 |
Last Update Date | 2019-06-07 |