| NPI | 1669015178 |
|---|---|
| Other Name | STEPHANIE WITT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LCPC-9166) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID LPC-7417) |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2022-10-19 |