| NPI | 1609237700 |
|---|---|
| Former Name | STEPHANIE HERNICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2023-09-06 |