| NPI | 1588279822 |
|---|---|
| Former Name | STEPHANIE TAYLOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 80969) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 14655) |
| 101YM0800X Counselor, Mental Health (Licence: TX 80969) | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2024-02-06 |