NPI | 1821289034 |
---|---|
Other Name | STACEY SHUMWAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.0600469-SUPV) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 104053) |
Enumeration Date | 2007-08-05 |
Last Update Date | 2018-03-17 |