| NPI | 1801217955 |
|---|---|
| Former Name | STEPHANIE COLLEEN SEBILLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OR 201392304RN) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2013-12-16 |
| Last Update Date | 2013-12-16 |