NPI | 1629462726 |
---|---|
Former Name | ALLISON LYNN STEPHENS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2015-03-26 |
Last Update Date | 2023-10-05 |