NPI | 1730566506 |
---|---|
Former Name | CHRISTINA LYNN STONER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0013145) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0000600) |
Enumeration Date | 2015-04-30 |
Last Update Date | 2022-03-01 |