| NPI | 1740576321 |
|---|---|
| Former Name | STEPHANIE E STARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I1000327) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH I.1000327) |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2022-09-13 |