| NPI | 1801284831 |
|---|---|
| Former Name | STEPHANIE ANN HENTHORN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 4051) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC00485300) |
| Enumeration Date | 2014-12-29 |
| Last Update Date | 2025-02-03 |