| NPI | 1760878292 |
|---|---|
| Former Name | STEPHANIE SCHOVILLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CO 0012373) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2023-02-14 |