NPI | 1619243946 |
---|---|
Former Name | REBECCA SHALA STAUFFER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60228176) |
101YM0800X Counselor, Mental Health (Licence: WA LH60454628) | |
Enumeration Date | 2012-03-30 |
Last Update Date | 2022-10-07 |