| NPI | 1629683271 |
|---|---|
| Former Name | STACY ANN SINZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 11082-123) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2023-11-13 |