| NPI | 1689214355 |
|---|---|
| Former Name | STACY LYNN HUTTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2020-01-10 |
| Last Update Date | 2020-01-10 |