| NPI | 1740468461 |
|---|---|
| Former Name | STACEY B SCOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC9276) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 6831) |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2020-01-02 |