| NPI | 1609526102 |
|---|---|
| Former Name | STEFANIANNE A HERNANDEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: HI 778) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: HI 3016-21) |
| Enumeration Date | 2022-03-27 |
| Last Update Date | 2022-06-20 |