| 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 |