| NPI | 1649491150 |
|---|---|
| Former Name | STACY BARNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: TN 2978) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2015-05-15 |